Brian D. Clark is a Medical in San Antonio, Texas. Brian D. Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Brian D. Clark is 1306889944. The last update date is 2015-07-21.
Brian D. Clark's current location address is 601 N Frio St, San Antonio, Texas. You can contact this provider via phone number 2102613750 and fax number 2104441474. The mailing address for Brian D. Clark is 601 N Frio St, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian D. Clark |
|---|---|
| Address | 601 N Frio St, San Antonio, Texas |
| Phone Number | 2102613750 |
| Fax Number | 2104441474 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306889944 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2015-07-21 |
Provider Mailing Address Detail
| Address | 601 N Frio St |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782073011 |
| Phone Number | 2102613750 |
| Fax Number | 2104441474 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA04747 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA04747 | TX | ST. LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian D. Clark by the Centers for Medicare & Medicaid Services?
The Brian D. Clark has been issued the NPI (National Provider Identifier) 1306889944, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brian D. Clark?
The Brian D. Clark is physically situated at 601 N Frio St, in the city of San Antonio, state of TX, with the postal code 782073011.
What is Brian D. Clark's area of expertise and its corresponding taxonomy classification?
The Brian D. Clark's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306889944 to Brian D. Clark?
The Centers for Medicare & Medicaid Services originally issued the 1306889944 to Brian D. Clark on 2006-06-13.
As of what date were the Brian D. Clark's details last updated?
The information pertaining to the Brian D. Clark, including its address, specialty, and other details, was most recently updated on 2015-07-21.